Provider Demographics
NPI:1316037716
Name:MAJMUDAR, SAPANA (DDS)
Entity type:Individual
Prefix:DR
First Name:SAPANA
Middle Name:
Last Name:MAJMUDAR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5201 MOWRY AVE
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-1056
Mailing Address - Country:US
Mailing Address - Phone:510-797-6453
Mailing Address - Fax:510-797-6493
Practice Address - Street 1:5201 MOWRY AVE
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1056
Practice Address - Country:US
Practice Address - Phone:510-797-6453
Practice Address - Fax:510-797-6493
Is Sole Proprietor?:No
Enumeration Date:2006-10-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA442101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice